치매, 정신증, 기분장애 환자군에서 관찰되는 MMSE 세부 항목별 점수 비교

• 영문명: Comparison of MMSE Profiles Between Dementia, Psychotic Disorders, and Mood Disorders
• 발행기관: 대한노인정신의학회
• 저자명: 진아영 정수봉 안호영 김낙영 백인호
• 간행물 정보: 『노인정신의학』제27권 제1호, 37~42쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2023.04.30

영문 초록

Objective: Cognitive impairment has been an area of interest for psychiatrists. Not only do patients with dementia exhibit symptoms associated with cognitive impairment, but those with some mental disorders such as psychotic and mood disorders as well. However, differences in cognitive impairment between these disorders remain unclear. In this study, we used the Korean Mini-Mental State Examination (K-MMSE), a tool that can be easily administered to patients, to compare cognitive impairment profiles among patients with dementia, psychotic disorders, and mood disorders. Methods: We collected demographic and clinical characteristics of 59 patients who were over 50 years old. Cognitive function was assessed using the K-MMSE. Patients were divided into three groups based on International Classification of Diseases 10th revision diagnosis codes: 1) F00-F01 Dementia, 2) F20-F29 Psychotic disorders, and 3) F30-F39 Mood disorders. We compared K-MMSE subscale scores between the three groups using one-way analysis of variance. Results: The three groups did not differ in demographic data. The dementia group showed the lowest scores in orientation to time (standard deviation [SD]=1.45, F=3.233, p<0.05) and place (SD=1.25, F=3.388, p<0.05), as well as registration (SD=1.00, F=4.425, p<0.05) and recall (SD=0.91, F=3.364, p<0.05) of memory compared to the groups with psychotic and mood disorders. The psychotic disorder group showed significant impairment in language (SD=1.34, F=3.348, p<0.05) compared to the other groups. No significant differences were observed in calculation and drawing. Conclusion: This study suggests that certain K-MMSE subscale scores could indicate an illness that causes cognitive impairment, especially in dementia, psychotic disorders, and mood disorders. By using K-MMSE profiles, we could provide better interventions for patients with cognitive impairment.

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키워드

간이정신상태검사 조현병 기분장애 치매 Mini-Mental State Examination Schizophrenia Mood disorder Neurocognitive disorder